Women used to get really debilitating surgeries to excise all of the axillary lymph nodes.

And then if that node has cancer, the woman would go on to get the axillary lymph node dissection.

It was enough for her to make the decision to get her subsequent care with her private oncologist who, every time she went, examined both breasts including the axillary tail, examined her axilla carefully, examined her cervical region, her inguinal region, did a thorough exam.